Related Experiment Video

Updated: Jul 31, 2025

Robotic Myotomy and Partial Fundoplication for Achalasia
11:19

Robotic Myotomy and Partial Fundoplication for Achalasia

Published on: August 11, 2023

1.6K

Does Presenting Facility and Race Impact Outcomes and Management of Pyloric Stenosis?

Cory Nonnemacher1, Joshua Glenn2, Hannah Moore3

  • 1Department of Surgery, Atrium Health Navicent, Macon, GA, USA.

The American Surgeon
|May 9, 2023
PubMed

Insights

This study found no significant differences in infant presentation or outcomes for Hypertrophic Pyloric Stenosis (HPS) based on transfer status or race. Widespread ultrasound use may contribute to standardized care.

Area of Science:

  • Pediatric Surgery
  • Infant Health
  • Surgical Outcomes

Background:

  • Hypertrophic Pyloric Stenosis (HPS) is a frequent surgical condition in infants.
  • Typical presentation includes projectile vomiting, dehydration, and metabolic alkalosis.
  • Variations in care based on race and location are observed in pediatric diseases.

Purpose of the Study:

  • To evaluate if transfer status and patient race impact the initial presentation and outcomes of infants with HPS.
  • To analyze the effect of these factors on electrolyte levels and length of hospital stay.

Main Methods:

  • Retrospective analysis of 131 infants diagnosed with HPS between 2015 and 2021.
  • Assessment of presenting electrolyte levels and length of stay (LOS).
  • Comparison between patients transferred to the facility versus those presenting directly, and by race.

Main Results:

  • No statistically significant differences were found in presenting electrolyte levels based on transfer status or race.
  • Hospital length of stay (LOS) did not significantly differ between groups.
  • This suggests a potential for standardized care regardless of patient demographics or origin.

Conclusions:

  • Transfer status and race do not appear to significantly affect HPS presentation or outcomes in this cohort.
  • The widespread availability and use of ultrasound may contribute to standardized diagnostic approaches.
  • This model could inform strategies to reduce disparities in other pediatric surgical conditions.

Keywords:
hypertrophic pyloric stenosispyloric stenosisraceruraltransfer

More Related Videos

Surgical Management of Meatal Stenosis with Meatoplasty04:53

Surgical Management of Meatal Stenosis with Meatoplasty

Published on: November 30, 2010

52.8K
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function09:40

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

Published on: April 17, 2020

13.6K

Related Concept Videos

Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
358
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
117
Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
226
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
104
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
105
Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

Gastroesophageal Reflux Disease II: Clinical Features and Management

Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
124